Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.10 / $127.16 / $127.16	Facility		$109.10	$127.16	$127.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $79.94 / $127.16	Professional		$56.24	$79.94	$127.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $140.84 / $372.37	Facility		$116.94	$140.84	$372.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $504.43 / $504.43	Professional		$111.03	$504.43	$504.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.31 / $415.05 / $609.09	Professional		$295.31	$415.05	$609.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $140.84	Facility		$139.08	$139.08	$140.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $225.75	Professional		$101.53	$101.53	$225.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $171.02 / $205.22	Professional		$171.02	$171.02	$205.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $380.00	Professional		$275.00	$275.00	$380.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $276.13 / $621.91 / $621.91	Facility		$276.13	$621.91	$621.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $795.07 / $826.88 / $958.95	Professional		$795.07	$826.88	$958.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $139.08 / $205.23	Facility		$56.24	$139.08	$205.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $139.08	Professional		$101.53	$101.53	$139.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $171.02 / $256.52	Professional		$171.02	$171.02	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $73.40 / $149.41	Professional		$67.70	$73.40	$149.41